Construction of nursing sensitive index system for limb blood circulation monitoring_West China Medical Journal

Authors：

HE Yongqin , YI Dekun , LI Yu , LAI Linyu ,  ZHANG Yumei

Department of Orthopedics, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing 400037, P. R. China;

Corresponding?author：

ZHANG Yumei, Email: zhangyumei19693@sina.com

Keywords：

Extremities; blood circulation; Delphi technique; quality index

DOI：

10.7507/1002-0179.202406161

Video：

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Objective To construct a nursing sensitive index system for limb blood circulation monitoring, to guide clinical nursing practice, and provide a scientific basis for the evaluation and management of limb blood circulation monitoring nursing quality. Methods The Chinese and English databases such as China National Knowledge Infrastructure, Wanfang, VIP, PubMed, and Web of Science were searched from the establishment of the database to April 1st, 2024. Using the structure-process-outcome three-dimensional quality system model as the theoretical basis, and through semi-structured interviews, an expert letter consultation questionnaire containing 3 first-level indicators, 9 second-level indicators and 30 third-level indicators was developed. The final nursing sensitive index system of limb blood circulation monitoring were determined through two rounds of expert consultation. Results A total of 25 experts participated in the questionnaire survey. The positive coefficients of the two rounds of expert consultation were 96% (24/25) and 100% (24/24), respectively, the expert authority coefficient was 0.906. The final nursing sensitive index system included 3 first-level indicators, 6 second-level indicators and 21 third-level indicators. All the indicators were closely related to limb blood circulation monitoring, and the quality of specialized nursing work of limb blood circulation monitoring was comprehensively improved from the three dimensions of structural indicators, process indicators, and outcome indicators. Conclusion The nursing sensitive index system of limb blood circulation monitoring has strong specialty, it not only clarifies the specific content of limb blood circulation monitoring and nursing work, but also systematically constructs the requirements and standards of the quality management level of blood circulation monitoring, which is scientific and practical.

Citation： HE Yongqin, YI Dekun, LI Yu, LAI Linyu, ZHANG Yumei. Construction of nursing sensitive index system for limb blood circulation monitoring. West China Medical Journal, 2024, 39(10): 1606-1610. doi: 10.7507/1002-0179.202406161 Copy

1.	中華醫學會骨科學分會外固定與肢體重建學組, 中國醫師協會創傷外科醫師分會創傷感染專業委員會, 中國醫師協會骨科醫師分會創傷專家工作委員會. 中國急性骨筋膜室綜合征早期診斷與治療指南(2020 版). 中華創傷骨科雜志, 2020, 22(8): 645-654.
2.	蔣琪霞, 朱玉玲, 祝文君, 等. “五點”皮瓣溫度和“單點”皮瓣溫度預測血管危象的準確性及臨界值研究. 中國全科醫學, 2023. doi: 10.12114/j.issn.1007-9572.2023.0580.
3.	湯磊雯, 葉志弘, 潘紅英. 護理質量敏感指標體系的構建與實施. 中華護理雜志, 2013, 48(9): 801-803.
4.	馮鳳. 中醫護理敏感質量指標的構建與應用. 中國護理管理, 2019, 19(增刊 1): 141-143.
5.	李黎, 郭驪莉. 專科護理敏感質量指標對于改善肝癌介入術后尿潴留患者的應用價值. 介入放射學雜志, 2022, 31(6): 613-615.
6.	戴巧艷, 何翠環, 郭雪梅, 等. 自制皮瓣血液循環監測尺在皮瓣移植術后患者的應用. 護理學雜志, 2019, 34(18): 33-35.
7.	陳連珍, 譚群芳, 關萬香. 血氧飽和度儀在四肢骨折術后患者肢端血液循環監測中的應用. 現代臨床護理, 2017, 16(4): 78-80.
8.	Crawford C. Johns-Hopkins nursing evidence-based practice model and guidelines. AORN J, 2009, 89(2): 426.
9.	霍冰清. 醫院 PICC 護理質量評價指標體系的構建及應用. 中國衛生標準管理, 2020, 11(23): 144-146.
10.	Afaneh T, Abu-Moghli F, Ahmad M. Nursing-sensitive indicators: a concept analysis. Nurs Manag (Harrow), 2021, 28(3): 28-33.
11.	王琪, 劉臘梅, 陳莉娜, 等. 基于結構-過程-結果模型兒童支氣管鏡圍術期專科護理質量敏感指標的構建. 護理學報, 2022, 29(8): 69-74.
12.	陳佳麗, 王立群, 寧寧, 等. 基于三維質量評價模型的關節外科專科護理質量標準的構建. 華西醫學, 2023, 38(10): 1495-1502.
13.	桂玉芳, 張維霞, 吳晶晶. 基于結構-過程-結果的白血病患兒護理質量評價標準的構建. 護理實踐與研究, 2021, 18(16): 2485-2488.
14.	Liu Y, Aungsuroch Y, Sha LY, et al. Construction of evaluation indexes of nursing students’ quality and safety competencies: a Delphi study in China. J Prof Nurs, 2021, 37(3): 501-509.
15.	Zhang M, Chen WP, Liu CP, et al. Nursing-sensitive quality indicators for pernicious placenta previa in obstetrics: a Delphi study based across Chinese institutions. Nurs Open, 2021, 8(6): 3461-3468.
16.	Shen ZY, Qin W, Zhu L, et al. Construction of nursing-sensitive quality indicators for cardiac catheterisation: a Delphi study and an analytic hierarchy process. J Clin Nurs, 2022, 31(19/20): 2821-2838.
17.	Dai FL, Wei K, Chen YH, et al. Construction of an index system for qualitative evaluation of undergraduate nursing students innovative ability: a Delphi study. J Clin Nurs, 2019, 28(23/24): 4379-4388.
18.	王玉姣. 基于三維質量結構模式的持續質量改進對提高普外科護理管理質量的影響. 中國醫藥科學, 2020, 10(15): 200-204.
19.	沈美萍, 陳朔暉, 劉鑫鑫, 等. 以 Donabedian 結構-過程-結果理論構建兒科護理敏感性質量指標評價體系. 中國實用護理雜志, 2018, 34(26): 2035-2041.

1. 中華醫學會骨科學分會外固定與肢體重建學組, 中國醫師協會創傷外科醫師分會創傷感染專業委員會, 中國醫師協會骨科醫師分會創傷專家工作委員會. 中國急性骨筋膜室綜合征早期診斷與治療指南(2020 版). 中華創傷骨科雜志, 2020, 22(8): 645-654.
2. 蔣琪霞, 朱玉玲, 祝文君, 等. “五點”皮瓣溫度和“單點”皮瓣溫度預測血管危象的準確性及臨界值研究. 中國全科醫學, 2023. doi: 10.12114/j.issn.1007-9572.2023.0580.
3. 湯磊雯, 葉志弘, 潘紅英. 護理質量敏感指標體系的構建與實施. 中華護理雜志, 2013, 48(9): 801-803.
4. 馮鳳. 中醫護理敏感質量指標的構建與應用. 中國護理管理, 2019, 19(增刊 1): 141-143.
5. 李黎, 郭驪莉. 專科護理敏感質量指標對于改善肝癌介入術后尿潴留患者的應用價值. 介入放射學雜志, 2022, 31(6): 613-615.
6. 戴巧艷, 何翠環, 郭雪梅, 等. 自制皮瓣血液循環監測尺在皮瓣移植術后患者的應用. 護理學雜志, 2019, 34(18): 33-35.
7. 陳連珍, 譚群芳, 關萬香. 血氧飽和度儀在四肢骨折術后患者肢端血液循環監測中的應用. 現代臨床護理, 2017, 16(4): 78-80.
8. Crawford C. Johns-Hopkins nursing evidence-based practice model and guidelines. AORN J, 2009, 89(2): 426.
9. 霍冰清. 醫院 PICC 護理質量評價指標體系的構建及應用. 中國衛生標準管理, 2020, 11(23): 144-146.
10. Afaneh T, Abu-Moghli F, Ahmad M. Nursing-sensitive indicators: a concept analysis. Nurs Manag (Harrow), 2021, 28(3): 28-33.
11. 王琪, 劉臘梅, 陳莉娜, 等. 基于結構-過程-結果模型兒童支氣管鏡圍術期專科護理質量敏感指標的構建. 護理學報, 2022, 29(8): 69-74.
12. 陳佳麗, 王立群, 寧寧, 等. 基于三維質量評價模型的關節外科專科護理質量標準的構建. 華西醫學, 2023, 38(10): 1495-1502.
13. 桂玉芳, 張維霞, 吳晶晶. 基于結構-過程-結果的白血病患兒護理質量評價標準的構建. 護理實踐與研究, 2021, 18(16): 2485-2488.
14. Liu Y, Aungsuroch Y, Sha LY, et al. Construction of evaluation indexes of nursing students’ quality and safety competencies: a Delphi study in China. J Prof Nurs, 2021, 37(3): 501-509.
15. Zhang M, Chen WP, Liu CP, et al. Nursing-sensitive quality indicators for pernicious placenta previa in obstetrics: a Delphi study based across Chinese institutions. Nurs Open, 2021, 8(6): 3461-3468.
16. Shen ZY, Qin W, Zhu L, et al. Construction of nursing-sensitive quality indicators for cardiac catheterisation: a Delphi study and an analytic hierarchy process. J Clin Nurs, 2022, 31(19/20): 2821-2838.
17. Dai FL, Wei K, Chen YH, et al. Construction of an index system for qualitative evaluation of undergraduate nursing students innovative ability: a Delphi study. J Clin Nurs, 2019, 28(23/24): 4379-4388.
18. 王玉姣. 基于三維質量結構模式的持續質量改進對提高普外科護理管理質量的影響. 中國醫藥科學, 2020, 10(15): 200-204.
19. 沈美萍, 陳朔暉, 劉鑫鑫, 等. 以 Donabedian 結構-過程-結果理論構建兒科護理敏感性質量指標評價體系. 中國實用護理雜志, 2018, 34(26): 2035-2041.

West China Medical Journal

Construction of nursing sensitive index system for limb blood circulation monitoring

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